Individual provider Active NPI

Lall Sammy, REGISTER NURSE

  • Registered Nurse
  • Queens Village, NY
National Provider Identifier
1013332030
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
466405 Issued in NY
Practice address
8660 235TH CT
Queens Village
Queens Village, NY 11427-2710
Phone
(347) 879-5731
NPI assigned
Feb 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 466405 NY Primary

Addresses

Primary practice location

8660 235TH CT
Queens Village
Queens Village, NY 11427-2710

Mailing address

8660 235TH CT
Queens Village
Queens Village, NY 11427-2710
Phone (347) 879-5731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
466405NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lall Sammy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1013332030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 235TH CT",
            "address_2": "QUEENS VILLAGE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272710",
            "telephone_number": "347-879-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 235TH CT",
            "address_2": "QUEENS VILLAGE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272710",
            "telephone_number": "347-879-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMY",
        "first_name": "LALL",
        "credential": "REGISTER NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "466405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.